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DRUG CLASS:

HDAC3 inhibitor

15d
Venetoclax confers synthetic lethality to chidamide in preclinical models with transformed follicular lymphoma. (PubMed, Clin Epigenetics)
Concurrently, the combined regimen enhanced their respective anticancer effects by inhibiting the key genes HDAC10 and BCL-xL. Taken together, venetoclax combined with chidamide presents a potent anticancer strategy in preclinical models of t-FL and merits further exploration in clinical trials to validate its effectiveness and safety for treating t-FL.
Preclinical • Journal • IO biomarker
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BCL2L1 (BCL2-like 1) • CTNNB1 (Catenin (cadherin-associated protein), beta 1) • HDAC10 (Histone Deacetylase 10)
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Venclexta (venetoclax) • Epidaza (chidamide)
17d
Combination of HDAC inhibition and cytokine enhances therapeutic HPV vaccine therapy. (PubMed, J Immunother Cancer)
Together, these findings provide a rationale for the combination of HPV vaccine, NHS-IL12, and Entinostat in the clinical setting for patients with HPV16-associated malignancies.
Journal • PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8)
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Jingzhuda (entinostat) • Versamune HPV • PDS01ADC
20d
QL1706 Plus Chidamide, AG as First-line Treatment for Metastatic Pancreatic Cancer (clinicaltrials.gov)
P2, N=33, Not yet recruiting, Tianjin Medical University Cancer Institute and Hospital
New P2 trial
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gemcitabine • albumin-bound paclitaxel • Epidaza (chidamide) • Qibeian (iparomlimab/tuvonralimab) • iparomlimab (QL1604)
21d
Targeting the HLA-E-NKG2A axis in combination with MS-275 enhances NK cell-based immunotherapy against DMG. (PubMed, J Exp Clin Cancer Res)
This study is the first to demonstrate that HDAC inhibition enhances NK cell-mediated cytotoxicity in DMG. Combining HDAC inhibition with NK cell therapy represents a promising therapeutic strategy for treating DMG by targeting NKG2A-HLA-E axis.
Journal • IO biomarker
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STAT3 (Signal Transducer And Activator Of Transcription 3) • HLA-E (Major Histocompatibility Complex, Class I, E) • KLRC1 (Killer Cell Lectin Like Receptor C1)
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Jingzhuda (entinostat)
22d
Azacitidine and Entinostat in Treating Patients With Advanced Breast Cancer (clinicaltrials.gov)
P2, N=58, Completed, National Cancer Institute (NCI) | Active, not recruiting --> Completed
Trial completion
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HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
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HR positive
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azacitidine • Jingzhuda (entinostat)
22d
New P3 trial
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doxorubicin hydrochloride • cyclophosphamide • vincristine • prednisone • Epidaza (chidamide)
28d
Rituximab-Chidamide combination chemotherapy enhances autophagy to overcome drug resistance in diffuse large B-cell lymphoma. (PubMed, Int Immunopharmacol)
These findings suggest that the BTG1/BECN1/ATG5 signaling axis plays a critical role in enhancing autophagy and reversing Rituximab resistance. The combination of Chidamide and Rituximab presents a promising therapeutic strategy, offering new insights into overcoming drug resistance in DLBCL.
Journal
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PTEN (Phosphatase and tensin homolog) • ATG5 (Autophagy Related 5) • BECN1 (Beclin 1) • MAPK8 (Mitogen-activated protein kinase 8) • HSPA8 (Heat Shock Protein Family A (Hsp70) Member 8)
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Rituxan (rituximab) • Epidaza (chidamide)
1m
Epigenomic regulation of stemness contributes to the low immunogenicity of the most mutated human cancer. (PubMed, Cell Rep)
Topical entinostat plus imiquimod immunotherapy blocked BCC development in mice. Collectively, our findings demonstrate that low BCC immunogenicity is associated with a stem-like quiescent program preserved in the tumor cells, which can be blocked to enable BCC immunotherapy.
Journal • Tumor mutational burden • IO biomarker
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TMB (Tumor Mutational Burden) • IRF1 (Interferon Regulatory Factor 1) • FOXC1 (Forkhead Box C1)
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Jingzhuda (entinostat) • Zyclara (imiquimod)
1m
Cold atmospheric plasma drives USP49/HDAC3 axis mediated ferroptosis as a novel therapeutic strategy in endometrial cancer via reinforcing lactylation dependent p53 expression. (PubMed, J Transl Med)
Our findings illustrate the suppressive effect of CAP treatment on endometrial cancer and uncover a novel regulatory mechanism mediated by CAP. Specifically, CAP modulates the ferroptosis pathway through the HDAC3/H3K18la/p53 axis, presenting a novel therapeutic approach for endometrial cancer treatment.
Journal
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TP53 (Tumor protein P53) • HDAC3 (Histone Deacetylase 3)
1m
Azacitidine and Entinostat in Treating Patients With Advanced Breast Cancer (clinicaltrials.gov)
P2, N=58, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Mar 2025 --> Mar 2026
Trial completion date
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HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
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HR positive
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azacitidine • Jingzhuda (entinostat)
1m
Upregulation of SSTR2 expression and radioligand binding of [18F]SiTATE in neuroendocrine tumour cells with combined inhibition of class I HDACs and LSD1. (PubMed, Neuroendocrinology)
Combined inhibition of class I HDACs and LSD1 potently increases SSTR2 expression and consequently radioligand binding and might thus be a putative strategy to improve the outcome of PRRT therapy in patients with NETs.
Journal
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SSTR (Somatostatin Receptor) • SSTR2 (Somatostatin Receptor 2)
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Jingzhuda (entinostat) • pulrodemstat (CC-90011)
2ms
HDAC1 acts as a tumor suppressor in ALK-positive anaplastic large cell lymphoma: implications for HDAC inhibitor therapy. (PubMed, Leukemia)
Short-term systemic pharmacological inhibition of HDACs using the HDACi Entinostat in a premalignant ALCL mouse model postponed or even abolished lymphoma development, despite high expression of the NPM::ALK fusion oncogene...Our findings underscore the tumor-suppressive function of HDAC1 and HDAC2 in T cells during ALCL development. Nevertheless, systemic pharmacological inhibition of HDACs could still potentially improve current therapeutic outcomes.
Journal
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ALK (Anaplastic lymphoma kinase) • PDGFRB (Platelet Derived Growth Factor Receptor Beta) • HDAC2 (Histone deacetylase 2) • HDAC1 (Histone Deacetylase 1)
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ALK positive • ALK fusion
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Jingzhuda (entinostat)
2ms
New trial
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Rituxan (rituximab) • cytarabine • cyclophosphamide • etoposide IV • Epidaza (chidamide)
2ms
New P2 trial
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2 (B-cell CLL/lymphoma 2) • CD20 (Membrane Spanning 4-Domains A1) • BCL6 (B-cell CLL/lymphoma 6)
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CD20 positive • MYC rearrangement + BCL6 rearrangement
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Rituxan (rituximab) • Brukinsa (zanubrutinib) • Epidaza (chidamide)
2ms
Cadonilimab in Combination with Chemotherapy and Chidamide as First-Line Treatment of Advanced Gastric Cancer (ChiCTR2500096832)
P2, N=42, Not yet recruiting, The First Affiliated Hospital of Soochow University; The First Affiliated Hospital of Soochow University
New P2 trial
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capecitabine • albumin-bound paclitaxel • oxaliplatin • Epidaza (chidamide) • Kaitanni (cadonilimab)
2ms
Phase II Clinical Study of the Efficacy and Safety of Chidamide and Anlotinib in Combination with AG Regimen in Patients with Advanced or Recurrent Pancreatic Cancer (ChiCTR2500095869)
P2, N=223, Not yet recruiting, The Affiliated Hospital of Qingdao University; the Affiliated Hospital of Qingdao University
New P2 trial
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Focus V (anlotinib) • Epidaza (chidamide)
2ms
A Phase I/II Study of Combination Immunotherapy for Advanced Cancers Including HPV-Associated Malignancies, Small Bowel, and Colon Cancers (clinicaltrials.gov)
P1/2, N=55, Active, not recruiting, National Cancer Institute (NCI) | Recruiting --> Active, not recruiting | N=107 --> 55
Enrollment closed • Enrollment change
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PD-L1 (Programmed death ligand 1) • CD4 (CD4 Molecule)
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PD-L1 negative
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Jingzhuda (entinostat) • bintrafusp alfa (M7824) • PDS01ADC
2ms
PI3Kδ Inhibitor Parsaclisib Combined with Chidamide for the Treatment of Relapsed/Refractory Peripheral T-cell Lymphoma (clinicaltrials.gov)
P1/2, N=12, Terminated, Henan Cancer Hospital | N=28 --> 12 | Trial completion date: Jan 2027 --> Feb 2025 | Recruiting --> Terminated; The clinical development of parsaclisib was stopped by it's manufacturer.
Enrollment change • Trial completion date • Trial termination
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ALK (Anaplastic lymphoma kinase)
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ALK positive • ALK negative
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Epidaza (chidamide) • parsaclisib (INCB50465)
2ms
Trial completion
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CD4 (CD4 Molecule)
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Keytruda (pembrolizumab) • Jingzhuda (entinostat)
2ms
New P2 trial
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BCL2 (B-cell CLL/lymphoma 2)
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • Brukinsa (zanubrutinib) • Epidaza (chidamide)
2ms
Entinostat, a histone deacetylase inhibitor, enhances CAR-NK cell anti-tumor activity by sustaining CAR expression. (PubMed, Front Immunol)
ENT-treated CAR-NK cells exhibited prolonged persistence and more significant tumor reduction in an MM tumor-bearing mouse model, highlighting the therapeutic potential of HDACi-treated CAR-NK cells. This study provides the first evidence that HDAC inhibitors can sustain CAR expression in CAR-NK cells in a promoter-dependent manner, potentially enhancing anti-tumor efficacy in multiple myeloma and underscoring the possible need for further clinical evaluation.
Journal • IO biomarker
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SDC1 (Syndecan 1)
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Jingzhuda (entinostat)
2ms
New P2 trial
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • Epidaza (chidamide)
2ms
Phase classification • Mismatch repair
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PD-L1 (Programmed death ligand 1) • BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • MSI (Microsatellite instability)
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EGFR mutation • BRAF mutation • BRAF V600 • ALK positive • ALK rearrangement
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Keytruda (pembrolizumab) • Jingzhuda (entinostat)
2ms
MS275 induces tumor immunosuppression by upregulating PD-L1 and enhances the efficacy of anti-PD-1 immunotherapy in colorectal cancer. (PubMed, Cancer Immunol Immunother)
This combination treatment also increased CD8+T cell tumor infiltration in the AOM-DSS CRC model, thereby leading to an anti-tumor immune response. Therefore, the combination of MS275 and anti-PD-1 immunotherapy represents a potential strategy for low PD-L1 expression tumors and should be considered a promising treatment approach for colon cancer.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
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PD-L1 expression
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Jingzhuda (entinostat)
2ms
Glofitamab Combination With Chidamide in Patients With Recurrent/Refractory DLBCL (clinicaltrials.gov)
P2, N=22, Recruiting, Tianjin Medical University Cancer Institute and Hospital | Not yet recruiting --> Recruiting | Initiation date: Sep 2024 --> May 2025
Enrollment open • Trial initiation date
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Epidaza (chidamide) • Columvi (glofitamab-gxbm)
2ms
Effects of tucidinostat in adult T-cell leukemia/lymphoma in clinical practice. (PubMed, Int J Hematol)
Between October 2021 and July 2023, 24 patients aged 41 to 88 years (median, 73.4 years) who had undergone prior therapies, including intensive chemotherapy (79.2%) and mogamulizumab immunotherapy (79.2%), received tucidinostat. Treatment-related adverse events were mainly hematologic but were managed over the course of treatment. Our findings indicate that tucidinostat provides survival benefits in patients with relapsed/refractory ATL in clinical practice and highlight key clinical factors for better outcomes.
Journal
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IL2 (Interleukin 2)
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Epidaza (chidamide) • Poteligeo (mogamulizumab-kpkc)
2ms
Chidamide + Regorafenib in Hepatocellular Carcinoma (HCC) (clinicaltrials.gov)
P1/2, N=7, Terminated, Great Novel Therapeutics Biotech & Medicals Corporation | N=46 --> 7 | Trial completion date: Jan 2026 --> Jan 2025 | Recruiting --> Terminated; The overall profile does not support development for Hepatocellular Carcinoma
Enrollment change • Trial completion date • Trial termination
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Stivarga (regorafenib) • Epidaza (chidamide)
2ms
Trial completion
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IFNG (Interferon, gamma)
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Opdivo (nivolumab) • Yervoy (ipilimumab) • domatinostat (4SC-202)
3ms
Real-World Study of Chidamide Combined With PD-(L)1 Inhibitors and Anti-Angiogenic Therapy for Advanced MSS-Type Colorectal Cancer (clinicaltrials.gov)
P=N/A, N=200, Not yet recruiting, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
New trial • Real-world evidence
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Avastin (bevacizumab) • Epidaza (chidamide)
3ms
Chidamide in Combination With PD-1 Inhibitor, Bevacizumab, and XELOX for Metastatic Colorectal Cancer (clinicaltrials.gov)
P2, N=130, Not yet recruiting, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
New P2 trial
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Avastin (bevacizumab) • capecitabine • oxaliplatin • Epidaza (chidamide)
3ms
Entinostat in Combination With Aldesleukin in Treating Patients With Metastatic Kidney Cancer (clinicaltrials.gov)
P1/2, N=47, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Jul 2025 --> Feb 2026
Trial completion date
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mTOR (Mechanistic target of rapamycin kinase)
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Jingzhuda (entinostat) • Proleukin (aldesleukin)
3ms
Design and Synthesis of Novel Deazapurine DNMT 1 Inhibitors with In Vivo Efficacy in DLBCL. (PubMed, J Med Chem)
Compound 55 demonstrated good antitumor activity in vivo. Specifically, compound 55 combined with chidamide demonstrated a superior therapeutic effect over the first-line therapy RTX-CHOP in both the DEL and TP53 mutant DLBCL PDX tumor models.
Preclinical • Journal
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TP53 (Tumor protein P53) • DNMT1 (DNA methyltransferase 1)
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TP53 mutation
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Epidaza (chidamide)
3ms
Local soft niches in mechanically heterogeneous primary tumors promote brain metastasis via mechanotransduction-mediated HDAC3 activity. (PubMed, Sci Adv)
Inhibiting histone deacetylase 3 abolishes niche softness-induced brain metastatic ability. Collectively, this study uncovers a previously unappreciated role of local niche softness within primary tumors in brain metastasis, highlighting the significance of primary tumor mechanical heterogeneity in metastatic organotropism.
Journal
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HDAC3 (Histone Deacetylase 3)
3ms
New Double Epigenetic Regimen in the Treatment of Relapsed or Refractory Acute Myeloid Leukemia (clinicaltrials.gov)
P2, N=21, Active, not recruiting, The First Affiliated Hospital of Soochow University | Trial completion date: Aug 2025 --> Aug 2027 | Trial primary completion date: Dec 2024 --> Dec 2026
Trial completion date • Trial primary completion date
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cytarabine • azacitidine • Epidaza (chidamide)
3ms
A semiempirical and machine learning approach for fragment-based structural analysis of non-hydroxamate HDAC3 inhibitors. (PubMed, Biophys Chem)
In addition, flexible molecular docking analysis, 200 ns MD simulation, and free energy landscape (FEL) analysis further established the importance of identified fingerprints in the modulation of HDAC3 inhibitory activity. This comprehensive analysis of structural variations among non-hydroxamate HDAC3i provides valuable insights, contributing to the design of potential non-mutagenic HDAC3i.
Journal
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HDAC3 (Histone Deacetylase 3)
3ms
Chidamide and Duvalisibon for the Treatment of Refractory/Relapsed Peripheral T-cell Lymphoma (clinicaltrials.gov)
P2, N=33, Recruiting, The First Affiliated Hospital of Xiamen University | Trial completion date: Dec 2025 --> Dec 2027 | Trial primary completion date: Dec 2024 --> Dec 2026
Trial completion date • Trial primary completion date
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Epidaza (chidamide)
3ms
Enrollment open • Real-world evidence
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Epidaza (chidamide)
3ms
Chidamide Combined With Linperlisibon for the Treatment of Refractory/Relapsed Follicular Lymphoma (clinicaltrials.gov)
P2, N=33, Recruiting, The First Affiliated Hospital of Xiamen University | Trial completion date: Dec 2025 --> Dec 2027 | Trial primary completion date: Dec 2024 --> Dec 2027
Trial completion date • Trial primary completion date
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Epidaza (chidamide) • Itari (linperlisib)
3ms
Treatment of Chidamide and Venetoclax for Retinoic Acid and Arsenic Resistant Acute Promyelocytic Leukemia (clinicaltrials.gov)
P2, N=30, Recruiting, Shanghai Jiao Tong University School of Medicine | Trial primary completion date: Jan 2025 --> Jan 2026
Trial primary completion date
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RARA (Retinoic Acid Receptor Alpha) • PML (Promyelocytic Leukemia)
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Venclexta (venetoclax) • Epidaza (chidamide)
3ms
HDAC2-Mediated METTL3 Delactylation Promotes DNA Damage Repair and Chemotherapy Resistance in Triple-Negative Breast Cancer. (PubMed, Adv Sci (Weinh))
This study not only elucidates the biological function of lactylated METTL3 in tumor cells but also highlights its negative regulatory effect on cisplatin resistance. Additionally, it underscores the nonclassical functional mechanism of Tucidinostat as a HDAC inhibitor for improving the efficacy of cisplatin against TNBC.
Journal
|
WT1 (WT1 Transcription Factor) • HDAC2 (Histone deacetylase 2) • METTL3 (Methyltransferase Like 3)
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cisplatin • Epidaza (chidamide)
3ms
Chidamide functions as a VISTA/PSGL-1 blocker for cancer immunotherapy. (PubMed, Cancer Immunol Immunother)
Here, by screening a library of marketed drugs, we identified Chidamide had a strong binding affinity toward VISTA (KD = 5 nM) and blocked VISTA/PSGL-1 under acidic conditions, thereby significantly enhancing the function of CD8+ T cells and inhibiting the tumor growth in immunocompetent murine CT26 tumor model. This study represents the first discovery of Chidamide as VISTA/PSGL-1 blocker for cancer immunotherapy.
Journal
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CD8 (cluster of differentiation 8)
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Epidaza (chidamide)
3ms
HDAC inhibitor enhances ferroptosis susceptibility of AML cells by stimulating iron metabolism. (PubMed, Cell Signal)
We demonstrated that HDAC inhibitors (Entinostat and Vorinostat) sensitize AML cells to ferroptosis both in vitro and in vivo. Our results suggest a novel therapeutic approach for AML, where combining HDAC inhibitors with ferroptosis inducers could exploit the disrupted iron metabolism in AML cells. This study highlights the potential of HDAC inhibitors to modulate iron metabolism pathways, offering new insights into the treatment of these malignancies.
Journal
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NCOA4 (Nuclear Receptor Coactivator 4) • HMOX1 (Heme Oxygenase 1)
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Zolinza (vorinostat) • Jingzhuda (entinostat)